학술논문

Dietary B group vitamin intake and the bladder cancer risk: a pooled analysis of prospective cohort studies.
Document Type
Article
Source
European Journal of Nutrition. Aug2022, Vol. 61 Issue 5, p2397-2416. 20p. 5 Charts, 3 Graphs.
Subject
*NONPARAMETRIC statistics
*CONFIDENCE intervals
*MULTIVARIATE analysis
*REGRESSION analysis
*VITAMIN B complex
*DIETARY supplements
*DESCRIPTIVE statistics
*ODDS ratio
*LONGITUDINAL method
*PROPORTIONAL hazards models
*DOSE-response relationship in biochemistry
*DISEASE risk factors
BLADDER tumors
Language
ISSN
1436-6207
Abstract
Purpose: Diet may play an essential role in the aetiology of bladder cancer (BC). The B group complex vitamins involve diverse biological functions that could be influential in cancer prevention. The aim of the present study was to investigate the association between various components of the B group vitamin complex and BC risk. Methods: Dietary data were pooled from four cohort studies. Food item intake was converted to daily intakes of B group vitamins and pooled multivariate hazard ratios (HRs), with corresponding 95% confidence intervals (CIs), were obtained using Cox-regression models. Dose–response relationships were examined using a nonparametric test for trend. Results: In total, 2915 BC cases and 530,012 non-cases were included in the analyses. The present study showed an increased BC risk for moderate intake of vitamin B1 (HRB1: 1.13, 95% CI: 1.00–1.20). In men, moderate intake of the vitamins B1, B2, energy-related vitamins and high intake of vitamin B1 were associated with an increased BC risk (HR (95% CI): 1.13 (1.02–1.26), 1.14 (1.02–1.26), 1.13 (1.02–1.26; 1.13 (1.02–1.26), respectively). In women, high intake of all vitamins and vitamin combinations, except for the entire complex, showed an inverse association (HR (95% CI): 0.80 (0.67–0.97), 0.83 (0.70–1.00); 0.77 (0.63–0.93), 0.73 (0.61–0.88), 0.82 (0.68–0.99), 0.79 (0.66–0.95), 0.80 (0.66–0.96), 0.74 (0.62–0.89), 0.76 (0.63–0.92), respectively). Dose–response analyses showed an increased BC risk for higher intake of vitamin B1 and B12. Conclusion: Our findings highlight the importance of future research on the food sources of B group vitamins in the context of the overall and sex-stratified diet. [ABSTRACT FROM AUTHOR]